Provider Demographics
NPI:1073729133
Name:BILLER, KARA MCKENNA (OT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:MCKENNA
Last Name:BILLER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 KINGSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2604
Mailing Address - Country:US
Mailing Address - Phone:401-782-3562
Mailing Address - Fax:
Practice Address - Street 1:153 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3219
Practice Address - Country:US
Practice Address - Phone:401-360-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT00362174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist